Telehealth Mindfulness-based Intervention for Adolescents With Autism Spectrum Disorder and Their Caregivers
The goal of this clinical trial is to learn whether a mindfulness-based intervention can reduce depression and anxiety in autistic adolescents. The main question this trial aims to answer is: Do adolescents who complete MINDful TIME show reductions in depression and anxiety compared to an active control group? Researchers will compare adolescents who complete MINDful TIME to adolescents who are instructed to use a mindfulness meditation mobile-app to see if changes in anxiety and depression differ between the two groups.
Participants will either:
- Attend weekly 90-minute MINDful TIME group meetings through Zoom with their parent or caregiver for a total of 8-weeks and use a mindfulness meditation app daily, or
- Use a mindfulness meditation app daily for 8-weeks
All participants will:
- Attend virtual intake, baseline, and follow-up visits to complete data collection
- Complete a weekly electronic meditation diary
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Olivia Melita
- Phone Number: (480) 603-3285
- Email: omelita@autismcenter.org
Study Locations
-
-
Arizona
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Phoenix, Arizona, United States, 85006
- Recruiting
- Southwest Autism Research & Resource Center
-
Contact:
- Nicole Matthews
- Phone Number: 480-582-9499
- Email: nmatthews@autismcenter.org
-
Principal Investigator:
- Nicole L Matthews, Ph.D.
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adolescents must be ages 13 to 18 years
- Formal clinical or educational ASD diagnosis confirmed by the study team (i.e., review of formal diagnostic report from the diagnosing practitioner or Multidisciplinary Evaluation Team report (MET) shared with the research team by the family) )
- Must be willing to be randomized to a treatment or delayed treatment control group
- Must be able to attend at least 7 of the 8 group meetings
- English speaking: Adolescents and their parent/caregivers must be English-speaking because the screening and behavioral measures are in English, as well as the intervention content
Exclusion Criteria:
- Non-verbal participants will be excluded to ensure test compliance and increase sample homogeneity.
- Participants with IQ scores <70 will be excluded because the intervention was developed for individuals without intellectual disability.
- Participants with a physical disability or co-occurring condition that may prevent participation in the weekly group meetings (e.g., selective mutism; aggressive behavior; inability to participate in a 90-minute video conference meeting each week)
- Participants who report active suicidal ideation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MINDful TIME Intervention
|
The intervention will include weekly 90-minute group meetings held online through Zoom.
Adolescents and parents will meet in separate groups and will learn about mindfulness-based strategies that can be used to manage and reduce stress, anxiety, and depression.
They will also learn evidence-based strategies to complete daily guided mindfulness meditations using Happier, a commercially-available mobile app.
Participants will be encouraged to meditate using the mobile app for 5-20 minutes each day during and after the 8-week intervention.
|
|
Active Comparator: Mindfulness Mobile App
|
Participants will receive access to the Happier app and brief instruction in Habit Formation strategies at the start of their intervention period.
A trained member of the research team will provide participants instructions for anchoring their mindfulness meditation to a pre-existing habit (i.e., their morning bathroom routine).
Like the treatment group, participants will be encouraged to meditate using the mobile app for 5-20 minutes each day during and after the 8-week intervention period.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Change from Baseline in Children's Depression Inventory (CDI) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Parent-report measure of adolescent depressive symptoms.
Scores range from 30 to 90 with higher scores indicating higher levels of depression symptoms.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in Multidimensional Anxiety Scale for Children (MASC) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Parent-report measure of adolescent anxiety symptoms.
Scores range from 30 to 90 with higher scores indicating higher levels of anxiety symptoms.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in Child and Adolescent Mindfulness Measure (CAMM) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Adolescent-report measure of mindfulness.
Scores range from 0 to 40 with higher scores indicating higher levels of mindfulness.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Change from Baseline in Center for Epidemiological Studies Depression Scale (CESD-D)
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Adolescent-report measure of depression.
20-item scale with scores ranging from 0 to 60. Higher scores indicate higher depression symptoms.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in Behavior Rating Inventory of Executive Function (BRIEF) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Parent-report measure of adolescent executive function and self-regulation.
Scores range from 30 to 90, with higher scores indicating higher levels of executive dysfunction.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in Five Facets Mindfulness Questionnaire (FFMQ) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Parent self-report measure of mindfulness on observation, description, aware actions, non-judgmental inner experience, and non-reactivity.
Factor scores range from 1 to 5, with higher scores indicating higher levels of mindfulness.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in Stress Index for Parents of Adolescents (SIPA) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Parent-report measure of the relationship of parenting stress to adolescent characteristics, parent characteristics, the quality of the adolescent-parent interactions, and stressful life circumstances.
Percentile scores range from 0 to 99, with higher scores indicating higher levels of parenting stress.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in Multidimensional Anxiety Scale for Children (MASC) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Adolescent-report measure of adolescent anxiety symptoms.
Scores range from 30 to 90 with higher scores indicating higher levels of anxiety symptoms.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
|
Mean Change from Baseline in World Health Organization-Five Wellbeing Index (WHO-5) Scores
Time Frame: Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Parent self-report measure on current well-being.
Scores range from 0 to 100, with higher scores indicating better quality of life.
|
Post-intervention (8 weeks); 2-month follow-up; 6-month follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Nicole Matthews, Ph.D., Southwest Autism Research & Resource Center
- Principal Investigator: Blair Braden, Ph.D., Arizona State University
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 00023487
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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